Anne Mottram1. 1. School of Nursing and Health Visiting, Mary Seacole Building, University of Salford, Frederick Road, Salford M6 6PU, United Kingdom. a.mottram@salford.ac.uk
Abstract
BACKGROUND: The amount and complexity of (ambulatory) day surgery is rapidly expanding internationally. Nurses have a responsibility to provide quality care for day surgery patients. To do this they must understand all aspects of the patient experience. There is dearth of research into day surgery using a sociological frame of reference. OBJECTIVE: The study investigated patients' experiences of day surgery using a sociological frame of reference. DESIGN: A qualitative study using the grounded theory approach was used. SETTING: The study was based in two day surgery units in two urban public hospitals in the United Kingdom. PARTICIPANTS: 145 patients aged 18-70 years and 100 carers were purposely selected from the orthopaedic, ear nose and throat and general surgical lists. They were all English speaking and were of varied socio-economic background. METHODS: The data was collected from 2004 to 2006. Semi-structured interviews were conducted on three occasions: before surgery, 48 h following surgery and one month following discharge. Permission was received from the Local Research Ethics Committee. Analysis of the data involved line-by-line analysis, compilation of key words and phrases (codes) and constant comparison of the codes until categories emerged. FINDINGS: Patients liked day surgery and placed it within the wider societal context of efficiency and speed. Time was a major issue for them. They wished surgery, like all other aspects of their life to be a speedy process. They likened it to a McDonald's experience with its emphasis on speed, predictability and control. CONCLUSION: This study throws new light on patient experiences and offers an understanding of day surgery against a western culture which emphasises the importance of speed and efficiency. It is a popular choice for patients but at times it can be seen to be a mechanistic way of providing care. The implications for nurses to provide education and information to add to the quality of the patient experience are discussed.
BACKGROUND: The amount and complexity of (ambulatory) day surgery is rapidly expanding internationally. Nurses have a responsibility to provide quality care for day surgery patients. To do this they must understand all aspects of the patient experience. There is dearth of research into day surgery using a sociological frame of reference. OBJECTIVE: The study investigated patients' experiences of day surgery using a sociological frame of reference. DESIGN: A qualitative study using the grounded theory approach was used. SETTING: The study was based in two day surgery units in two urban public hospitals in the United Kingdom. PARTICIPANTS: 145 patients aged 18-70 years and 100 carers were purposely selected from the orthopaedic, ear nose and throat and general surgical lists. They were all English speaking and were of varied socio-economic background. METHODS: The data was collected from 2004 to 2006. Semi-structured interviews were conducted on three occasions: before surgery, 48 h following surgery and one month following discharge. Permission was received from the Local Research Ethics Committee. Analysis of the data involved line-by-line analysis, compilation of key words and phrases (codes) and constant comparison of the codes until categories emerged. FINDINGS:Patients liked day surgery and placed it within the wider societal context of efficiency and speed. Time was a major issue for them. They wished surgery, like all other aspects of their life to be a speedy process. They likened it to a McDonald's experience with its emphasis on speed, predictability and control. CONCLUSION: This study throws new light on patient experiences and offers an understanding of day surgery against a western culture which emphasises the importance of speed and efficiency. It is a popular choice for patients but at times it can be seen to be a mechanistic way of providing care. The implications for nurses to provide education and information to add to the quality of the patient experience are discussed.
Authors: Róbert Pónusz; Dóra Endrei; Dalma Kovács; Evelin Pónusz; Bence Kis Kelemen; Diána Elmer; Noémi Németh; András Vereczkei; Imre Boncz Journal: BMC Health Serv Res Date: 2022-06-20 Impact factor: 2.908
Authors: Björn Stessel; Maarten Hendrickx; Caroline Pelckmans; Gerrit De Wachter; Bart Appeltans; Geert Braeken; Jeroen Herbots; Elbert Joosten; Marc Van de Velde; Wolfgang F F A Buhre Journal: PLoS One Date: 2021-01-26 Impact factor: 3.240
Authors: Björn Stessel; Audrey A Fiddelers; Elbert A Joosten; Daisy M N Hoofwijk; Hans-Fritz Gramke; Wolfgang F F A Buhre Journal: Medicine (Baltimore) Date: 2015-09 Impact factor: 1.817
Authors: Eric D Tutuhatunewa; Martin Stevens; Olivier C Dams; Jeffrey van Son; Rebecca D Louhanepessy; Paul F M Krabbe; Maarten J Postma; Ron L Diercks Journal: BMC Musculoskelet Disord Date: 2020-08-18 Impact factor: 2.362